| Entity Name: | ZUBAIR FAROOQUI MD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Nov 2012 (12 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Jan 2018 (7 years ago) |
| Document Number: | L12000145459 |
| FEI/EIN Number | 46-1414315 |
| Address: | 14486 University Cove Place, TAMPA, FL, 33613, US |
| Mail Address: | 17842 Arbor Greene Drive, TAMPA, FL, 33647, US |
| ZIP code: | 33613 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770993446 | 2014-05-05 | 2014-05-05 | 27516 CASHFORD CIR, STE 102, WESLEY CHAPEL, FL, 335446910, US | 27516 CASHFORD CIR, STE 102, WESLEY CHAPEL, FL, 335446910, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 813-447-0550 |
Authorized person
| Name | ZUBAIR FAROOQUI |
| Role | PRESIDENT |
| Phone | 8134470550 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | ME95518 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS FL |
| Number | 56984 |
| State | FL |
| Issuer | MEDICAID |
| Number | 279137400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FAROOQUI ZUBAIR JDr. | Agent | 17842 Arbor Greene Drive, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| FAROOQUI ZUBAIR J | President | 17842 Arbor Greene Drive, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| Farooqui Amana | Secretary | 17842 Arbor Greene Drive, TAMPA, FL, 33647 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000072683 | NEW TAMPA INTERNAL MEDICINE ASSOCIATES | EXPIRED | 2014-07-14 | 2019-12-31 | No data | 14486 UNIVERSITY COVE PLACE, TAMPA, FL, 33613 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2018-01-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-01-04 | FAROOQUI, ZUBAIR J , Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-30 | 14486 University Cove Place, TAMPA, FL 33613 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 14486 University Cove Place, TAMPA, FL 33613 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-30 | 17842 Arbor Greene Drive, TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-24 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-30 |
| REINSTATEMENT | 2018-01-04 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-05-04 |
| ANNUAL REPORT | 2014-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
